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228102 (AR)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE 1 ST FL. SQ. FT. �a 2ND FL. SQ. FT. (al POR. SQ. FT. (�1 GAR. SQ.FT. CAR P. SQ. FT. Cia WALL SOFT. @a AIR HANDLING UNIT CFM SQ. FT. [7a ESTIMATED CONSTRUCTION VALUATION 2 NOTE: Not to be used as property tax valuation MFCHANICAL FEES ELECTRICAL FEES NO. ' MOTOR I OR LESS H.P. MOTOR 5 OR LESS H.P. MOTOR 20 OR LESS H.P. K.W. UNITS FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER DST . MOBILE HOME HOOKUP FEE 1$ 1 1 1 1 PtHMI1 rtt I I I I PtHMII Ftt I 1 22 P(��,�/�1 N �l VENT SYSTEM ❑ FAN ❑EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) MECH. FEE APPLIANCE TRANS-. O K.W. FORMER GARBAGE DISPOSAL DBL. ELECT. FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑SUSPENDED OUTLETS LAUNDRY TRAY FEE AIR HANDLING UNIT CFM FIXTURE OR SOCKET KITCHEN SINK 2 GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET _ COMPRESSOR 0 HP POLE LAVATORY APPLIANCE VENT AMPERES SERV. ENT. SHOWER ABSORPTION SYSTEM B.T.U. SO. FT, (ia 4 BATH TUB INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT. @ Q WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY / SQ. FT. RESID. @a 14 SEWAGE DISPOSAL _ BOILER 0 B.T.U. SQ. FT. GARAGE �ia 1�2Q 1 1 HOUSE SEWER i PERMIT FEE BALANCE OF MIN. FEE GAS PIPING MOBILE HOME HOOKUP FEE 1$ 1 1 1 1 PtHMI1 rtt I I I I PtHMII Ftt I 1 22 P(��,�/�1 N �l TOTAL FEES MOB. HK. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE 2 -� --- 1- ---JDB� V J F I M A I M I J I J A I S 1 O. 1 N I D JOB ADDRESS '�' s ® r` rJ OWN_ 0" 73 USCUF BUILDING'C d DATEw PERMN C 75 I M.H. HOOKUP FEE $ COMMUNITY DST UN S ROOMS I VALUATION ISUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION �f f o t 6 SET BACK LOT SIZE ZONE USE NO. GRP TYPE BY MECHANICAL FEE - DBL $`� rCK F .+..• A 5 p� w PLAN CHECK FEE $ v BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR ? 3 e�— ^ CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER' BRANCH - OFFICE .NO J LENDER INVOLVED - 049 ELECTRICAL FEE DBL $ ADDRESS CITY STATE SMI FEE $ V THIS PERMIT SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN 60 DAYS. CESSA- TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. - $ FEE I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC - CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO PLUMBING FEE DBL $ AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS $ TOTAL FEES ! © HAS DONE CCORDANCEAWITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS H5OSTIN ATF CODE OF TCASH ❑ CHECK ['' M.O. ❑ , N.C. ❑ OWNER, CONTRACTOR RECEIVED BY ADDRESS ADDRESS ' SEWAGE SYSTEM T LL P CITY CITY -• TREES REQUIRED YES NO e'i INFORMATION TEL. NO. NO.O. LICENSE TEL.NO. r � FORM 284-2081Re, 11/721